Plain X-ray of the leg in a patient with osteomalacia. A looser zone is clearly seen in the upper third of the fibula. Courtesy Dr. N. Haramati.
Hadjipavlou AG, Tzermiadianos MN, Katonis PG, Szpalski M: Percutaneous vertebroplasty and balloon kyphoplasty for the treatment of osteoporotic vertebral compression fractures and osteolytic tumors. J Bone Joint Surg Br 87: 1595-1604, 2005.
Iqbal MM: Osteoporosis: Epidemiology, diagnosis, and treatment. South Med J 93: 2-18, 2000.
Jevtic V: Imaging of renal osteodystrophy Eur J Radiol 46: 85-95, 2003.
Kanberoglu K, Kantarci F, Cebi D, Yilmaz MH, Kurugoglu S, Bilici A, Koyuncu H: Magnetic resonance imaging in osteomalacic insufficiency fractures of the pelvis. Clin Radiol 60: 105-111, 2005.
Kelman A, Lane NE: The management of secondary osteoporosis. Best Pract Res Clin Rheumatol 19: 1021-1037, 2005.
Kobayashi K, Shimoyama K, Nakamura K, Murata K: Percutaneous vertebroplasty immediately relieves pain of osteoporotic vertebral compression fractures and prevents prolonged immobilization of patients. Eur J Radiol 15: 360-367, 2005.
Lenchik L, Rogers LF, Delmas PD, Genant HK: Diagnosis of osteoporotic vertebral fractures: Importance of recognition and description by radiologists. Am J Radiol 183: 949-958, 2004.
Lyman D: Undiagnosed vitamin D deficiency in the hospitalized patient. Am Fam Physician 71: 299-304, 2005.
Maddalozzo GF, Snow CM: High intensity resistance training: Effects on bone in older men and women. Calcif Tissue Int 66: 399-404, 2000.
McKiernan F, Faciszewski T: Intravertebral clefts in osteoporotic vertebral compression fractures. Arthritis Rheum 48: 1414-1419, 2003.
Newhouse KE, El-Khoury GY, Buckwalter JA: Occult sacral fractures in osteopenic patients. J Bone Joint Surg Am 74: 1472-1477, 1992.
Oostveen JCM, Van de Laar MAFJ: Magnetic resonance imaging in rheumatic disorders of the spine and sacroiliac joints. Semin Arthritis Rheum 30: 52-69, 2000.
Orr RD: Treatment of osteoporotic vertebral compression fractures with vertebral augmentation: Vertebroplasty and kyphoplasty Contemp Spine Surg 5: 27-32, 2004.
Osterhouse MD, Kettner NW: Delayed posttraumatic vertebral collapse with intravertebral vacuum cleft. J Manipulative Physiol Ther 25: 270-275, 2002.
Plotnikoff GA, Quigley JM: Prevalence of severe hypovitaminosis D in patients with persistent, nonspecific musculoskeletal pain. Mayo Clin Proc 78: 1463-1470, 2003.
Rao RD, Singrakhia MD: Current concepts review: Painful osteoporotic vertebral fractures. Pathogenesis, evaluation, and roles of vertebroplasty and kyphoplasty in its management. J Bone Joint Surg Am 85: 2010-2022, 2003.
Reginato AJ, Falasca GF, Pappu R, McKingth B, Agha A: Musculoskeletal manifestations of Osteomalacia: Report of 26 cases and literature review. Semin Arthritis Rheum 28: 287-304, 1999.
Richardson JP: Vitamin D deficiency: The once and present epidemic. Am Fam Physician 71: 241-242, 2005.
Soubrier M, Dubost JJ, Boisgard S, Sauvezie B, Gaillard P, Michel JL, Ristori JM: Insufficiency fracture. A survey of 60 cases and review of the literature. Joint Bone Spine 70: 209-218, 2003.
Sugita M, Watanabe N, Mikami Y, Hase H, Kubo T: Classification of vertebral compression fractures in the osteoporotic spine. J Spinal Disord Tech 18: 376-381, 2005.
Theodorou DJ: The intravertebral vacuum cleft sign. Radiol 221: 787-788, 2001.
Thomas MK, Demay MB: Vitamin D deficiency and disorders of Vitamin D metabolism. Endocrinol Metab Clin N Am 29: 611-627, 2000.
Togawa D, Lieberman IH, Bauer TW, Reinhardt MK, Kayanja MM: Histological evaluation of biopsies obtained from vertebral compression fractures: Unsuspected myeloma and osteomalacia. Spine 30: 781-786, 2005.
Vaccaro AR, Kim DH, Brodke DS, Harris M, Chapman J, Schildhauer T, Routt C, Sasso RC: Diagnosis and management of sacral spine fractures. J Bone Joint Surg Am 86: 166-175, 2004.
White PH: Osteopenic disorders of the spine. Semin Spine Surg 2: 121-129, 1990.
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